You Be the Coder:
Know if Reporting Established E/M is Possible Without Physical Exam
Published on Wed Aug 24, 2016
Question: I have newly joined into family medicine coding. Recently, when reporting an E/M encounter for a follow up patient, I noticed that our FP had not performed a physical examination for the patient. He had documented history and recorded the vitals. He had also detailed out the treatment plan for the patient. Can I report an E/M code for this [...]